MONUMENT OUTREACH COMMUNITY SERVICES (NPI# 1487950184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487950184 |
| Entity Type | Organization |
| Organization Name | MONUMENT OUTREACH COMMUNITY SERVICES |
| Practice Address |
2750 W Columbus Ave Chicago IL 60652-1727 |
| Practice Telephone | 3127352134 |
| Practice Fax Number | 7739181630 |
| Mailing Telephone | 3127352134 |
| Mailing Fax Number | 7739181630 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |
| Authorized Official Name | JOHN STEVEN HENTON (OWNER) |
| Authorized Official Telephone | 3127352134 |
| Authorized Official Credential | D. D. PHD PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| Street Address |
2750 W COLUMBUS AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60652-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
| 1770012189 | Rachel Pasternak | Social Worker | 3348 W 87th Street, Chicago, IL 60652 | 2017-06-08 |
| 1437682283 | Manliu Yang | Dentist | 8541 S Cicero Ave, Chicago, IL 60652 | 2017-04-08 |
| 1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
| 1346786811 | Talisha Moman | Licensed Practical Nurse | 7600 S. Pulaski Rd., Suite 1106, Chicago, IL 60652 | 2017-01-09 |
| 1952851933 | Yvonne Caldwell | Licensed Practical Nurse | 8600 S. Pulaski, Road, Chicago, IL 60652 | 2016-10-13 |
| 1942605795 | Brittney Mclean | Developmental Therapist | 4317 W. 77th Pl, Chicago, IL 60652 | 2014-10-22 |
| 1245599521 | Chisa Marie Collins | Occupational Therapist | 8008 S Albany, Chicago, IL 60652 | 2012-05-08 |
| 1548572969 | St. Mary Therapy Services | Clinic/Center | 2455 W 79th St, #101, Chicago, IL 60652 | 2010-07-14 |
| 1750574752 | Curt R Lang | Dentist | 4651 W 79th St, Suite 208, Chicago, IL 60652 | 2007-08-22 |
| Find all providers in zip 60652 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982933669 | Rachael L Miller | Counselor | 2950 W Chicago Ave Ste 202, Chicago, IL 60622-4377 | 2009-12-09 |
| 1568694578 | Thrive Therapeutic Services, LLC | Counselor | 2656 W Montrose Ave Ste 201, Chicago, IL 60618-1673 | 2009-08-10 |
| 1376626200 | Regina B. Mcclure | Counselor | 1805 W Monterey Ave Ste 146273, Chicago, IL 60643-4228 | 2006-10-23 |
| 1134745417 | Thomas Joseph Nimrod | Counselor | 126 E Chestnut St, Chicago, IL 60611-2014 | 2020-06-22 |
| 1881236370 | Frankie Veldia Baylor | Counselor | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2019-10-16 |
| 1760045421 | Toya Wilson | Counselor | 1136 S Delano Ct W, Chicago, IL 60605-3740 | 2019-04-18 |
| 1386151249 | Malachi Kelly | Counselor | 1200 W 35th St Ste 5b5220, Chicago, IL 60609-1305 | 2018-01-01 |
| 1144693961 | Heritage Professional Associates | Counselor | 126 E Chestnut St, Rccw Third Floor, Chicago, IL 60611-2014 | 2015-11-02 |
| 1316316870 | Margaret M Brennan | Counselor | 126 E Chestnut St, 3rd Floor, Chicago, IL 60611-2014 | 2015-09-15 |
| 1417341306 | Angela Alexander | Counselor | 2865 N Clybourn Ave, Ground Floor, Chicago, IL 60618-8269 | 2015-03-27 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on MONUMENT OUTREACH COMMUNITY SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.